开放性胫骨骨折的软组织处理

Management of the soft tissues in open tibial fractures.

作者信息

Small J O, Mollan R A

机构信息

Department of Plastic Surgery, Ulster Hospital, Dundonald.

出版信息

Br J Plast Surg. 1992 Nov-Dec;45(8):571-7. doi: 10.1016/0007-1226(92)90022-p.

DOI:10.1016/0007-1226(92)90022-p

PMID:1493528

Abstract

This paper reviews the treatment of 168 open tibial fractures referred to the Northern Ireland Plastic Surgery Service over a 15-year period. Flap reconstruction was carried out in 133 (79%) and split skin graft cover in 22 (13%). There were 18 amputations (11%). There was a high incidence of complications among early post-injury fasciocutaneous flaps and late free flaps. Twenty-five primary free flaps were transferred without complication. The current management of open tibial fractures in this Unit is described.

摘要

本文回顾了15年间转诊至北爱尔兰整形手术服务中心的168例开放性胫骨骨折的治疗情况。133例（79%）进行了皮瓣重建，22例（13%）采用了断层皮片覆盖。有18例截肢（11%）。早期创伤后筋膜皮瓣和晚期游离皮瓣的并发症发生率较高。25例一期游离皮瓣转移未出现并发症。本文描述了该科室目前对开放性胫骨骨折的治疗方法。